Individual
MADELINE RAE JELACIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 775-8194
Mailing address
1836 SOUTH AVE APT 320, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16758
WI
Other
Enumeration date
05/24/2022
Last updated
08/28/2024
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